Kondoh K, Mitsui A, Kasugai T, Urakami T
Department of Respiratory Surgery and Surgery, Toyota Memorial Hospital, Japan.
Kyobu Geka. 1997 Sep;50(10):838-43.
The thoracoscopic surgery for two benign esophageal diseases, esophageal leiomyoma and esophageal diverticulum, were successfully performed. Case 1 was a 37-year-old female with esophageal leiomyoma that was located at 30 cm from the incisor of the left anterior esophagus. The tumor was enucleated under the thoracoscopy, combined mini-thoracotomy for 3 cm in length. It was useful enough to rotate the left side to the right with two slings traction for better visualization of lesion site. After resection, the proper muscle layer of the esophagus was closed. Case 2 was a 70-year-old male, who complained of dysphagia because of esophageal diverticulum. It was 8 cm in size and located at 28 cm from the incisor of the right wall of the esophagus. It was also resected under the thoracoscopy, combined mini-thoracotomy for 3 cm in length. Intraluminal esophagoscope was useful to dissect safely and confirm the intralumen of the diverticulum. Its neck was divided parallel to the longitudinal axis of the esophagus by two endo-staplers. And then, the muscle layer was closed. It was suggested that esophageal leiomyoma and esophageal diverticulum were suitable for thoracoscopic surgery.
成功实施了针对两种良性食管疾病（食管平滑肌瘤和食管憩室）的胸腔镜手术。病例1是一名37岁女性，患有食管平滑肌瘤，位于距左前食管切牙30 cm处。在胸腔镜下将肿瘤摘除，并联合进行了3 cm长的小切口开胸手术。使用两根吊带牵引将左侧向右侧旋转，对于更好地观察病变部位很有帮助。切除后，关闭食管的固有肌层。病例2是一名70岁男性，因食管憩室而出现吞咽困难。憩室大小为8 cm，位于距食管右壁切牙28 cm处。同样在胸腔镜下切除，并联合进行了3 cm长的小切口开胸手术。腔内食管镜有助于安全分离并确认憩室的管腔。用两个腔内吻合器将其颈部平行于食管纵轴切断。然后，关闭肌层。提示食管平滑肌瘤和食管憩室适合胸腔镜手术。
